| Name: | Central Falls Children's Foundation |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 07 Feb 2020 (5 years ago) |
| Identification Number: | 001704597 |
| ZIP code: | 02863 |
| County: | Providence County |
| Principal Address: | 577 BROAD STREET FLOOR 1, CENTRAL FALLS, RI, 02863, USA |
| Purpose: | SUPPORT THE HEALTH AND WELLBEING OF UNDERINSURED CHILDREN OF CENTRAL FALLS |
NAICS
624110 Child and Youth ServicesThis industry comprises establishments primarily engaged in providing nonresidential social assistance services for children and youth. These establishments provide for the welfare of children in such areas as adoption and foster care, drug prevention, life skills training, and positive social development. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124774062 | 2022-03-01 | 2022-03-01 | 577 BROAD STREET., CENTRAL FALLS, RI, 028632837, US | 577 BROAD STREET., CENTRAL FALLS, RI, 028632837, US | |||||||||||||||||||||||
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| Phone | +1 401-339-7046 |
| Fax | 4015432112 |
| Phone | +1 401-305-1950 |
Authorized person
| Name | DR. BEATA FELICIA NELKEN |
| Role | DIRECTOR |
| Phone | 4013397046 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | BN54275 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| BEATA F. NELKEN | Agent | 577 BROAD STREET FLOOR 1, CENTRAL FALLS, RI, 02863, USA |
| Name | Role | Address |
|---|---|---|
| STEPHANIE GONZALEZ | PRESIDENT | 35 DEBORAH STREET PROVIDENCE, RI 02909 USA |
| Name | Role | Address |
|---|---|---|
| DIOSCARIS GARCIA | SECRETARY | 26 CEDARBROOK ST PAWTUCKET, RI 02861 USA |
| Name | Role | Address |
|---|---|---|
| JONATHON ACOSTA | VICE PRESIDENT | 100 ILLINOIS STREET CENTRAL FALLS, RI 02863 USA |
| Name | Role | Address |
|---|---|---|
| BEATA NELKEN MD | DIRECTOR | 48 GLEN AVENUE CRANSTON, RI 02905 USA |
| ERNESTO N. REGUS | DIRECTOR | 48 GLEN AVE CRANSTON, RI 02905-3702 USA |
| MIRANDA NELKEN | DIRECTOR | 82 BILLINGS AVE KEENE, NH 03431 USA |
| Number | Name | File Date |
|---|---|---|
| 202454155200 | Annual Report - Amended | 2024-05-10 |
| 202453895530 | Annual Report | 2024-04-25 |
| 202332156260 | Annual Report | 2023-04-18 |
| 202216836390 | Annual Report | 2022-04-28 |
| 202208102450 | Annual Report | 2022-01-18 |
| 202208101930 | Reinstatement | 2022-01-18 |
| 202105434690 | Revocation Certificate For Failure to File the Annual Report for the Year | 2021-11-29 |
| 202101348360 | Revocation Notice For Failure to File An Annual Report | 2021-09-13 |
| 202033956790 | Articles of Incorporation | 2020-02-07 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
